,OpenStax Clinical Nursing Skills Student Answer Guide
OpenStax Clinical Nursing Skills Student
Answer Guide
Chapter 1: The Role of the Nurse in Comprehensive Care.............................................................3
Chapter 2: The Evolution of the Nurse’s Role.................................................................................7
Chapter 3: Patient Communication and Interviewing..................................................................
12 Chapter 4: Obtaining a Complete Health
History......................................................................... 15 Chapter 5: Cultural Competence and
Assessment....................................................................... 19 Chapter 6: Infection Prevention
Techniques and Safety in Clinical Setting..................................24 Chapter 7:
Hygiene........................................................................................................................28 Chapter
8: Wound and Burn Assessment Care.............................................................................32 Chapter
9: Activity Assessment and Management.......................................................................36 Chapter
10: Specimen Collection and Lab Testing........................................................................41
Chapter 11: Principles of Medication Administration..................................................................
47 Chapter 12: Medication Administration
Procedures....................................................................52 Chapter 13: Intravenous
Administration...................................................................................... 58 Chapter 14:
Miscellaneous Medication Administration............................................................... 63 Chapter
15: General Survey, Anthropometric Measurement, and Vital Signs.............................67 Chapter
16: Pain Assessment........................................................................................................71
Chapter 17: Nutrition Assessment................................................................................................76
Chapter 18: Oxygenation and Perfusion.......................................................................................80
Chapter 19: Fluids, Electrolytes, and Elimination.........................................................................
84 Chapter 20: Psychosocial
Assessment.......................................................................................... 88 Chapter 21: Assessment
of the Integumentary System............................................................... 93 Chapter 22:
Assessment of the Head and Neck............................................................................96 Chapter
23: Assessment of the Thorax, Lungs, Breast, and Lymphatic System......................... 101 Chapter
24: Assessment of the Cardiovascular and Peripheral Vascular System...................... 105 Chapter
25: Assessment of the Musculoskeletal System........................................................... 109
Chapter 26: Assessment of the Neurological System.................................................................112
Chapter 27: Assessment of the Abdomen..................................................................................
115 Chapter 28: Clinical Judgment and Critical
Thinking...................................................................119
, 2
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
5/7/2025
, OpenStax Clinical Nursing Skills Student Answer Guide
Chapter 1: The Role of the Nurse in Comprehensive Care
Review Questions
1. Florence Nightingale is considered the founder of ____________, which emphasizes the
healing of the whole person, including mind, body, and soul.
a. caring nursing
b. the seven ethical principles of nursing
c. holistic nursing
d. systems nursing
[
Answer:C]
3. The nurse’s ability to develop and implement appropriate actions or interventions based on
the interpretation of the collected data and identified patient needs is the ___________
step of the clinical judgment model.
a. noticing
b. interpreting
responding
c.
d. reflecting
[
Answer:C]
5. What is the purpose of integrating interdisciplinary theories with nursing theory and
practice?
a. to break down current nursing theories and dictate the formation of future nursing
theory
b. to assist in the development of nursing models and frameworks that guide the delivery
of patient care, and help nurses understand and work better with the interdisciplinary
team
c. to discourage overreliance on nursing theory alone
d. to encourage other disciplines to learn about nursing theory and integrate it into their
practice
[
Answer:B]
7. In the hierarchy of EBP, the strongest sources of evidence at the top of the hierarchy are
a. randomized controlled trials (RCTs)
b. one-on-one patient interviews
c. case studies
d. systematic reviews and meta-analyses
[
Answer:D]
9. Identifying potential patient concerns is a step in what part of the nursing process?
a. assessment
b. diagnosis
3
OpenStax Clinical Nursing Skills Student
Answer Guide
Chapter 1: The Role of the Nurse in Comprehensive Care.............................................................3
Chapter 2: The Evolution of the Nurse’s Role.................................................................................7
Chapter 3: Patient Communication and Interviewing..................................................................
12 Chapter 4: Obtaining a Complete Health
History......................................................................... 15 Chapter 5: Cultural Competence and
Assessment....................................................................... 19 Chapter 6: Infection Prevention
Techniques and Safety in Clinical Setting..................................24 Chapter 7:
Hygiene........................................................................................................................28 Chapter
8: Wound and Burn Assessment Care.............................................................................32 Chapter
9: Activity Assessment and Management.......................................................................36 Chapter
10: Specimen Collection and Lab Testing........................................................................41
Chapter 11: Principles of Medication Administration..................................................................
47 Chapter 12: Medication Administration
Procedures....................................................................52 Chapter 13: Intravenous
Administration...................................................................................... 58 Chapter 14:
Miscellaneous Medication Administration............................................................... 63 Chapter
15: General Survey, Anthropometric Measurement, and Vital Signs.............................67 Chapter
16: Pain Assessment........................................................................................................71
Chapter 17: Nutrition Assessment................................................................................................76
Chapter 18: Oxygenation and Perfusion.......................................................................................80
Chapter 19: Fluids, Electrolytes, and Elimination.........................................................................
84 Chapter 20: Psychosocial
Assessment.......................................................................................... 88 Chapter 21: Assessment
of the Integumentary System............................................................... 93 Chapter 22:
Assessment of the Head and Neck............................................................................96 Chapter
23: Assessment of the Thorax, Lungs, Breast, and Lymphatic System......................... 101 Chapter
24: Assessment of the Cardiovascular and Peripheral Vascular System...................... 105 Chapter
25: Assessment of the Musculoskeletal System........................................................... 109
Chapter 26: Assessment of the Neurological System.................................................................112
Chapter 27: Assessment of the Abdomen..................................................................................
115 Chapter 28: Clinical Judgment and Critical
Thinking...................................................................119
, 2
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
5/7/2025
, OpenStax Clinical Nursing Skills Student Answer Guide
Chapter 1: The Role of the Nurse in Comprehensive Care
Review Questions
1. Florence Nightingale is considered the founder of ____________, which emphasizes the
healing of the whole person, including mind, body, and soul.
a. caring nursing
b. the seven ethical principles of nursing
c. holistic nursing
d. systems nursing
[
Answer:C]
3. The nurse’s ability to develop and implement appropriate actions or interventions based on
the interpretation of the collected data and identified patient needs is the ___________
step of the clinical judgment model.
a. noticing
b. interpreting
responding
c.
d. reflecting
[
Answer:C]
5. What is the purpose of integrating interdisciplinary theories with nursing theory and
practice?
a. to break down current nursing theories and dictate the formation of future nursing
theory
b. to assist in the development of nursing models and frameworks that guide the delivery
of patient care, and help nurses understand and work better with the interdisciplinary
team
c. to discourage overreliance on nursing theory alone
d. to encourage other disciplines to learn about nursing theory and integrate it into their
practice
[
Answer:B]
7. In the hierarchy of EBP, the strongest sources of evidence at the top of the hierarchy are
a. randomized controlled trials (RCTs)
b. one-on-one patient interviews
c. case studies
d. systematic reviews and meta-analyses
[
Answer:D]
9. Identifying potential patient concerns is a step in what part of the nursing process?
a. assessment
b. diagnosis
3
